Delta Physician Practices

LBN: Delta Physician Practices
Delta Physician Practices is an health care organization with primary practice located at 302 Arnold Ave , Greenville MS 38701-4711. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Delta Physician Practices can be contacted via phone (662) 335-8919, or through Stacker, Iris via phone (662) 378-3783.

Contact Information

Primary practice address
302 Arnold Ave Greenville MS 38701-4711
Phone: (662) 335-8919
Fax: (662) 335-2091
Website:
Map and Directions
Authorized official contact:
Name: Stacker, Iris
Phone: (662) 378-3783

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X

Profile Details

NPI number 1891814802
LBN Legal business name Delta Physician Practices
DBA Doing business as
Authorized official Stacker, Iris
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 29th, 2007
Last updated Nov 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891814802 NPPES
Arkansas MEDICAID 156272002
Arkansas MEDICAID 09015100

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